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Adoption Application (Dogs)
Please fill out to the best of your ability and completely truthfully. If there are any discrepancies in your application it will result in the disposal of your application and or the removal of the animal from your care.
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First and last name?
*
Phone number?
*
Email?
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Are you applying for a specific dog? If so please use their name. If you are filling out a general application for us to be on the lookout for a perfect dog for you please type N/A.
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What kind of dog are you looking for?
*
Number of people over the age of 18 in your household?
*
Number of people under the age of 18 in your household (please list their ages)?
*
Ages under 18. (separate ages with a comma)
What state and country do you live in?
*
What occupation do you work in?
*
How much do you feel you can reasonably afford and would be willing to spending on your dog each year (vet bills, unexpected medical expensive, food, toys, kennel, licensing, tags and ID's, training, rehabilitation, etc?
*
Do you have any pets currently if so please list the types of animals and their ages and breeds?
*
How many hours a day will the dog be left home alone?
*
Do you rent or own your home?
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Rent
Own
Other:
Do you rent or own your home? other
Have you spoke to your landlord on whether or not animals are allowed, please provide documentation?
*
What is your home environment, do you live on a farm or in the city or suburbs? Do you live in a home, apartment, condo, townhouse, or mobile home?
*
Are your pets kept indoors or outdoors primarily?
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Indoors
Outdoors
Other:
Are your pets kept indoors or outdoors primarily? other
Will the dog be walked often?
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Yes
No
Other:
Will the dog be walked often? other
Upon meeting the dog what would give you cause to not what to adopt, please explain?
*
When will you be ready to adopt a dog?
*
Today
Within 2 weeks
Within a month
Within 6 months
Within a year
By checking the box below you are stating that you have answered all the questions accurately and you fully understand that any discrepancy will result in immediate removal of the animal from your care.
*
I agree
Other:
Agree: other
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Adoption Application
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